Severe tracheal stenosis due to prolonged tracheostomy tube placement: a case reportReport as inadecuate




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Cases Journal

, 2:7101

First Online: 18 September 2009Received: 07 April 2009Accepted: 24 August 2009DOI: 10.4076-1757-1626-2-7101

Cite this article as: Zhou, W., Ding, S.F., Zhai, Q. et al. Cases Journal 2009 2: 7101. doi:10.4076-1757-1626-2-7101

Abstract

Tracheal stenosis is the most common late airway complication of tracheostomy. Severe tracheal stenosis resulted in hemodynamic deterioration and impairment of respiratory system mechanics. We cared for an 86-year-old man with severe tracheal stenosis due to prolonged placement of a tracheostomy tube for 42-months. At the distal tip of the tracheostomy tube, bronchoscopy revealed severe tracheal luminal obstructions by granulation tissue. During pressure-controlled ventilation, the peak airway pressure was much higher than the inspiratory pressure. For patients with clinical signs of tracheal stenosis after tracheotomy, bronchoscopy should be done as early as possible.

AbbreviationsICUintensive care unit

PEEPpositive end expiratory pressure

PIPpeak airway pressure

PSpressure support

RRrespiratory rate

SIMVsynchronized intermittent mandatory ventilation.

Electronic supplementary materialThe online version of this article doi:10.4076-1757-1626-2-7101 contains supplementary material, which is available to authorized users.

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Author: Wei Zhou - Shi Fang Ding - Qian Zhai - Da Wei Wu

Source: https://link.springer.com/







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